Individual
ERIK VERNON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
5400 OLD HWY 91, MONA, UT 84645
(435) 623-5040
Mailing address
5400 OLD HWY 91, MONA, UT 84645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9753116-3502
UT
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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